1. Preoperative Serum Levels of Matrix Metalloproteinase-2 (MMP-2) and Survival of Breast Cancer among Korean Women
- Author
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Dong Young Noh, Sang Ah Lee, Minkyo Song, Kyoung-Mu Lee, Ji Yeob Choi, Nan Song, Sohee Han, Sue K. Park, Sei Hyun Ahn, Chulbum Park, Daehee Kang, Hyuna Sung, yunhee lee, Keun-Young Yoo, and Sujee Jeon
- Subjects
Adult ,Oncology ,medicine.medical_specialty ,Epidemiology ,Estrogen receptor ,Breast Neoplasms ,Enzyme-Linked Immunosorbent Assay ,Disease-Free Survival ,Metastasis ,Breast cancer ,Blood serum ,Internal medicine ,Republic of Korea ,Biomarkers, Tumor ,medicine ,Humans ,Stage (cooking) ,Gynecology ,business.industry ,Hazard ratio ,Cancer ,Middle Aged ,Prognosis ,medicine.disease ,Survival Analysis ,Confidence interval ,Multivariate Analysis ,Preoperative Period ,Matrix Metalloproteinase 2 ,Female ,business - Abstract
Background: Matrix metalloproteinase-2 (MMP-2) has been thought of as a predictor of recurrence or metastasis risk or prognostic markers in cancer. We evaluated whether preoperative serum levels of MMP-2 work as a prognostic biomarker in breast cancer prognosis. Methods: Preoperative serum levels of MMP-2 were measured with ELISA in 303 patients with histologically confirmed breast cancer. The median follow-up time for all patients was 4.24 years. The relationship of MMP-2 to survival was investigated using Cox proportional hazard regression model adjusted for the tumor–node–metastasis (TNM) stage and estrogen receptor (ER) status. Results: In the multivariate analysis, disease-free survival (DFS) was worse among patients with the third tertile of MMP-2 level than with the first tertile of MMP-2 level [hazard ratio, 1.80; 95% confidence interval (CI), 1.04–3.11; P = 0.04]. However, when the patients were stratified by age, ER status, histologic grade, and nuclear grade, inverse correlation was shown between serum MMP-2 levels and prognostic factors, and the associations between MMP-2 and DFS were only significant among patients with poor prognostic factors (HR, 2.75; 95% CI, 1.32–5.73 in ER-negative; HR, 2.90; 95% CI, 1.42–5.92 in histologic grade III; and HR, 2.61; 95% CI, 1.26–5.39 in nuclear grade III). Conclusions: Our results suggest that the preoperative serum levels of MMP-2 were associated with the survival in patients with breast cancer in ER-negative, higher histologic grade, or higher nuclear grade breast cancers. Impact: Our results indicate that serum levels of MMP-2 may play a role as prognostic biomarker in breast cancer survival. Cancer Epidemiol Biomarkers Prev; 21(8); 1371–80. ©2012 AACR.
- Published
- 2012
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